Provider Demographics
NPI:1679907489
Name:MALAWEY PHYSICAL THERAPY SERVICES P.C.
Entity type:Organization
Organization Name:MALAWEY PHYSICAL THERAPY SERVICES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALAWEY
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:760-715-4789
Mailing Address - Street 1:17010 MATINAL RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-1452
Mailing Address - Country:US
Mailing Address - Phone:760-715-4789
Mailing Address - Fax:
Practice Address - Street 1:16885 VIA DEL CAMPO CT STE 215
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92127-1790
Practice Address - Country:US
Practice Address - Phone:760-715-4789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurologyGroup - Multi-Specialty